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Kentucky rates for HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $17.78 / $28.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $15.14 / $15.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $23.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $15.49 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $21.38 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $16.98